# STEVEN P. BLEIWEISS MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennedy Surgical Pathology Medical Associates, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306915764
- **Authorized official:** STEVEN P BLEIWEISS (MD/PRESIDENT)
- **Authorized official phone:** (909) 881-6711

## Contact information

- **Practice address:** 2101 WATERMAN, SAN BERNARDINO, CA 92404
- **Practice address phone:** (909) 881-4522
- **Mailing address:** P.O. BOX 6015-0015, CYPRESS, CA 90630-0015
- **Mailing address phone:** (714) 236-4000
- **Mailing address fax:** (714) 236-4006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | G20642 | CA | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 07/29/2008